Auto Claims Adjuster

October 23

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Sedgwick

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Insurance • Enterprise • Compliance

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

10,000+ employees

🏢 Enterprise

📋 Compliance

📋 Description

• To analyze mid- and higher-level general auto claims to determine scope of damages; • to ensure ongoing adjudication of claims within company standards and industry best practices; • and to identify subrogation of claims and negotiate settlements. • Manages mid-level and higher-level auto commercial and personal lines claims by gathering information to determine exposure; • assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. • Assesses liability and resolves claims within evaluation. • Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. • Manages subrogation of claims and negotiates settlements. • Communicates claim action with claimant and client. • Ensures claim files are properly documented and claims coding is correct. • Maintains professional client relationships.

🎯 Requirements

• Bachelor's degree from an accredited college or university preferred. • Professional certification as applicable to line of business preferred. • Secure and maintain the State adjusting licenses as required for the position. • Four (4) years of claims management experience or equivalent combination of education and experience required. • Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles as applicable to line-of-business. • Excellent oral and written communication skills, including presentation skills. • PC literate, including Microsoft Office products. • Analytical and interpretive skills. • Strong organizational skills. • Excellent interpersonal skills. • Excellent negotiating skills. • Ability to create and complete comprehensive, accurate and constructive written reports. • Ability to work in a team environment. • Ability to meet or exceed Performance Competencies.

🏖️ Benefits

• Eligible for 401k